Kidventures 2017 - Registration

Kidventures 2017 - Registration
Kidventures requires a non-refundable deposit of $25.00 per week/per child. This amount will be applied to
the registration fee.
Parent Name:
Complete Address:
Phone Number:
Email:
Children’s Information
Name
Mil Cost
Non
Mil
cost
Birth Date
Camp
Lunch
Date of camp
$104
$116
$5
July 4-7 (4 days)
$130
$145
$5
July 10-14
$130
$145
$5
July 17-21
$130
$145
$5
July 24-28
$130
$145
$5
July 31 – Aug 4
$104
$116
$5
Aug 8-11 ( 4 days)
$130
$145
$5
Aug 14-18
$130
$145
$5
Aug 21-25
No. of Children
Grade Completing this year
Non Refundable Deposit
paid at registration
($25 per child)
Remaining
Camp Cost
SUBTOTAL
TOTAL COST OF CAMPS:
TOTAL PAID AT TIME OF REGISTRATION:
BALANCE OWING AS PER PROVIDED SCHEDULE:
Parent / Guardian Signature
Method of Payment:
Balance Owing
Kidventures 2017
Medical & Consent Form
The following information is CONFIDENTIAL. It will be used by the Kidventures staff for
health and emergency purposes. Please complete ALL information carefully.
This form MUST be completed in order for the child to attend camp
Please complete one form for each child.
Child’s name _________________________Gender:____ Birthday __________ Age ____
Address ________________________________________ Phone Number ____________
Siblings attending camp: ____________________________________________________
Parents/Guardian: __________________________________________________________
Mother’s Telephone: business ______________ home____________ cell_________________
Father’s Telephone: business _____________ home_____________cell_________________
Email: (weekly newsletter will be emailed) ____________________________________
Name of Physician ________________________________Phone ___________________
Manitoba Health Registration No: ___________________ PHIN No: __________________
Other Medical Coverage:
__________________________________________________________________________
Company
Contract #
Policy #
Please list 2 other names that may be contracted if parent(s) or guardians(s) are not available.
Name (Relationship)
Phone Number
1._______________________________________________________________________
2._______________________________________________________________________
If your child has an allergy to food(s), medication(s) or other items (smoke, dust, pollen, animals,
etc.), please state the specific nature and treatment of the allergy.
____________________________________________________________________________
____________________________________________________________________________
Does your child require a lifejacket?
 Yes
 No
Is the camper seeing a healthcare provider for any physical, emotional, or behavioural disorder? If
YES, Please provide details, including techniques you have found useful. If required please attach
an additional sheet or call the MFRC office to plan a meeting with the camp staff.
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
Is your child currently on any medication or treatment?
If YES, what?
___________________________________________________________________________
Will medication need to be administered at camp? If YES, please specify dosage and instructions.
____________________________________________________________________________
____________________________________________________________________________
Is there anything else we should know about in caring for your child (Francophone, new to
Winnipeg, extremely shy, overly aggressive, any phobias, etc.)?
____________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Is the family experiencing a Deployment at this time?
Yes
No
Camp Lunch
Kidventures provides an optional hot lunch service on Fridays for $5.00. Please see attached form for weekly
selections. Would you like to purchase a hot lunch?
Yes
No
How did You Hear about us?
How did you hear about Kidventures Summer Day camp? Please circle one of the following:
Word of Mouth
Returning Camper
Flyer received at home
Voxair
Pop Up
Flyer received at school
Other: _____________________________________________
Medical Consent
► I hereby give permission to the MFRC Staff to secure immediate first aid treatment for the above
named child that may be required in the event of a medical emergency while in our care,
including any necessary transport (accompanied by a staff member) by ambulance or private
vehicle to the nearest hospital. I acknowledge the MFRC staff and any physicians called upon
to provide medical care to my child will be relying on the information contained herein
concerning my child’s medical condition.
► I hereby grant my permission for Kidventures Staff to take my child on field trips by bus.
______________________________
Date
______________________________
Parent/Guardians’ Signature
Media Consent
► The Winnipeg MFRC photographs events and participants to maintain a history of the center
and for promotional purposes. I give the MFRC permission to photograph of my child/family.
______________________________
Date
______________________________
Parent/Guardians’ Signature
Sign out
Participants in the Kidventures Summer Day camp program between the ages of 6-12 years old
must be signed in and out every day by a parent/ guardian specified below. Once a participant is
signed out he/she will no long fall under the supervision or responsibility of the Winnipeg MFRC’s
Kidventures Program staff.
Photo ID MUST be shown by the pre-approved parent/guardian for pick up.
I, ____________________________ (Parent/Guardian’s name), hereby give
permission to my child __________________________ to be signed out by myself, the
parent/guardian,and the following individuals: (Please print)
Name:_____________________________Relationship:_________________________
Name:_____________________________Relationship:_________________________
Name:_____________________________Relationship:_________________________
I understand that once my child is signed out, he/she will no longer fall under the supervision or
responsibility of the MFRC Kidventures Staff.
________________________________
Parents/ Guardian Signature
______________________________
Date
Winnipeg Military Family Resource Centre Liability Release Form
Participants Name___________________________________________________________
I understand that participation in the above event could include actions or tasks which might be
hazardous to the participant named above.
By signing below, I assume any risk of harm or injury which might occur to the participant due to
participation in the event or activity. I release the officers, employees and volunteers of the
Winnipeg Military Family Resource Centre from all liability, costs and damages which might arise
from participation in the above named event or activity.
If the participant is a minor, I agree that the minor has my consent to participate in the event. I
further provide my consent for the Winnipeg Military family Resource Centre to seek emergency
treatment for the minor if necessary. I agree to accept financial responsibility for the costs related to
this treatment.
Name of parent or Guardian__________________________________________________
Signature of parent or Guardian _______________________Date____________________
We want to make this camp a great experience for you and your child.
Please feel free to attach additional informational or contact the camp staff.
Kidventures Summer Day
Camp 2017
2016 Parent Handbook
Welcome to the MFRC Kidventures Day Camp! We would like to take this opportunity to provide
you with some useful information regarding our camp. We look forward to having your child at
camp this summer and we believe that their time at camp will provide endless opportunities for
rewarding experiences, enjoyable moments, and new friendships.
This parent handbook contains valuable information.
Please read it carefully and KEEP it for future reference.
Sign In/ Sign Out Procedures
A parent or guardian MUST sign each child in and out of camp.
A note is required if another person is picking up your child (ren).
ID MUST be presented in order to pick up your child (ren).
Camp Hours
Drop-off
8:45 – 9:00 ***with sunscreen applied
Pickup
3:45 – 4:00
Extended Care
7:15 – 9:00 a.m. & 4:00 – 5:00 p.m. one staff member will be available. A $5.00 fee will apply to
every 15 minutes for late pick up.
Camp Location
Kidventures is located in the Westwin Children’s Centre in the Westwin Community Centre. The
address is 642 Wihuri Road (formally Whytewold Road).
Fieldtrips
Fieldtrips are on Wednesdays. Destination of fieldtrips is subject to change. We will inform parents
and campers of any changes as soon as possible. Children are to wear camp t-shirt.
Mandatory Daily Packing List - LABEL ALL ITEMS!! ALL ITEMS!!!
All items should fit into 1 backpack:
 Bathing suit & towel in plastic bag
 Hat (Visors are not acceptable)
(Campers without hats must wear a hat from camp)
 Sunscreen
 Water bottle
 2 Healthy snacks (Nut free)
 Healthy lunch (Nut free)
 Runners are mandatory at all times
(No open-toed or open-heeled shoes. This includes sport sandals)
X – No Valuables, Money, Trading Cards, Video Games, or iPods
Kidventures is not responsible for lost or stolen items.
Due to the great number of lost items, it is important that you LABEL ALL backpacks, clothes,
towels, lunch bags, water bottles, sunscreens, and any other personal items sent with your child.
Sun Protection
We require all campers to be protected with sunscreen, and a hat. Use of UV protected sunglasses
is encouraged, but not required. We will usually be going outside very early in the day to avoid peak
UV times.
Parents should apply sunscreen BEFORE camp.
Lunches and Snacks
Campers require 2 snacks, morning & afternoon, and a lunch. We cannot heat lunches.
Snacks and lunches should be healthy and nutritious. The long-lasting energy needed for camp
comes from healthy foods.
We find it useful to label your child’s afternoon snack for them, as in the past many children have
eaten everything earlier in the day and are hungry after swimming.
NO PEANUT PRODUCTS are allowed at camp. These allergies are severe, as is this rule.
Please try to pack litter-less snacks and lunches. Labelled containers will find their way home!!
Medical Forms/ Medications
The Medical and Consent Form MUST be filled out for each child prior to camp.
Any medications that need to be taken at camp must be given to the camp staff. An “Administration
of Medication” consent form needs to be filled out for all medication.
Place medications in a Ziploc bag, marked with the camper’s name and instructions (time, dosage,
take with food, etc.).
Please note that camp staff is not able to provide campers with any medication unless supplied by
the parent.
Parent/Staff Communication
We believe that communication between parents and the staff is important. If you have any
concerns or issues, please do not hesitate to contact the staff or the coordinator. Please realize
that at certain times during the day, the staff are very busy with the children and may not have time
to discuss major issues. Please contact the camp supervisor (ext. 2991) or the Youth Program
Coordinator (ext 4511) to schedule a meeting.
Each family will have a mail slot at the camp. Please check these daily for any notes or receipts.
Payment and Refund Policy
Registration and payment deadline is 2 weeks prior to the start of camp. Kidventures runs on a
cost-recovery basis: refunds are not issued after registration except due to extenuating
circumstances. Refunds are subject to a $25.00 administration fee. There are no refunds 2 weeks
prior to the start date of camp.
Feedback
The Kidventures camp is designed and improved based on feedback from parents, staff, and the
campers themselves. We always welcome constructive feedback. Evaluation forms for parents
and campers will be distributed each Thursday during camp. We encourage you to fill out the forms
and return them to either the camp or the MFRC office at the end of your child’s camp experience.
Important Numbers
Winnipeg Military Family Resource Centre
102 Comet St. P.O. Box 17000, Station Forces
Winnipeg, Manitoba R3J 3Y5
Phone 833-2500 extension 4500
Westwin Children’s Centre (during camp hours only): 833-2500 Ext. 2491
Kidventures Supervisor – Sabreena Castagner 833-2500 Ext. 2991
Youth Program Coordinator – John Bailey: 833-2500 Ext. 4511
If you have any questions, please do not hesitate to call. We will be happy to assist you and
your child (ren) prepare for a great summer camp experience.
Dates of payments / Postdated cheques
Camp
Date of postdated cheque
Mil
1 – Infinity & Beyond
4 to 7 July 2017 *
19 June 2017
$ 104
$ 116
2 – Wet N’Wild
10 to 14 July 2017
26 June 2017
$130
$145
3 – Animal Planet
17 to 21 July 2017
3 July 2017
$130
$ 145
4 – The Great Outdoors
24 to 28 July 2017
10 July 2017
$ 130
$ 145
5 – Mad Science
31 July to 4 August 2017
17 July 2017
$ 130
$ 145
6 – Around the World in 4 days
8 to 11 August 2017 *
24 July 2017
$ 104
$ 116
7 – Challenge Week
14 to 18 August 2017
31 July 2017
$ 130
$ 145
8 – Time travelers
21 to 25 August 2017
7 August 2017
$ 130
$ 145
*Note: Weeks 1 and 6: 4 days
Civ
Kidventures
Hot Lunch Order Form
⎕Week 1 – 4 to 7 July
⎕Week 4 – 24 to 28 July
⎕Week 7 – 14 to 18 August
Pizza & Pop
Child’s Name: _______________________________________________
Allergies: ___________________________________________________
Pizza Choice (Please Circle)
Pepperoni
Cheese
Number of slices (+$1.00 per extra slice)
1
2
3
Pop Choice (Please Circle)
Coke
Sprite
Fruitopia
Iced Tea
Orange Crush
Mountain Dew
Notes:
______________________________________________________________
Kidventures
Hot Lunch Order Form
⎕ Week 2 – 10 - 14 July
⎕ Week 5 – 31 July – 4 August
⎕ Week 8 – 21 – 25 August
McDonald’s
Child’s Name:
Allergies:
Meal Choice – comes with fries: (Please Circle)
Hamburger
Cheeseburger
Chicken Fingers
Pop Choice: (Please Circle)
Coke
Sprite
Fruitopia
Iced Tea
Orange Crush
Mountain Dew
Notes:
______________________________________________________________
Kidventures
Hot Lunch Order Form
⎕Week 3 – 17 to 21 July
⎕Week 6 – 8 to 11 August
Subway
Child’s Name: _______________________________________________
Allergies: ___________________________________________________
Meal Choice (Please Circle)
Cold Cut Combo Veggie Delight
Ham Turkey Breast
Italian B.M.T
Number of Portions *(additional portions $1.00)
1
2
3
Pop Choice (Please Circle)
Coke
Sprite
Fruitopia
Iced Tea
Orange Crush
Mountain Dew
Notes:
______________________________________________________________